横向根骨折的20年后创伤后呈现,伴随着骨吸收和鼻腔通道:一个案例报告
Pedram Hosseinzadehfard1, Paulina Bernote2, Greta Lodiene1
1Department of Dental and Oral Pathology, Lithuanian University of Health Sciences, Kaunas, LTU.
Cureus
|February 6, 2026
概括
延迟的水平根骨折可能会导致诸如持续性鼻通道等并发症. 这个病例通过内牙治疗和切除牙顶部碎片的手术来处理一个20年前的骨折,从而保留了牙.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 在口腔外科手术.
背景情况:
- 水平根骨折带来了诊断和治疗的挑战,特别是延迟的呈现.
- 持续的鼻通道可能表明并发症,如未经治疗的骨折中顶片段亡.
研究的目的:
- 描述延迟水平根骨折与持续性鼻通道的管理.
- 突出晚期发生的脉死亡的可能性,并强调个性化治疗策略.
主要方法:
- 冠状片段的内牙治疗,包括管道塑形,氧化敷料和生物牙遮.
- 在牙科手术显微镜下,使用基于乳头的片技术手术切除死角片.
主要成果:
- 持续性鼻通道的成功解决和在12个月的随访后完全治愈.
- 保护冠状片段的功能和周围的牙周结构.
- 在慢性病例中避免完全拔牙.
结论:
- 选择性内牙治疗与手术片段切除相结合,是慢性水平根骨折的有效保守方法.
- 个性化管理和早期诊断对于预防牙创伤的长期并发症至关重要.
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